Rheumatology Flashcards Preview

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Flashcards in Rheumatology Deck (17)
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1
Q

Oral ulcers, gential ulcers and anterior uveitis =

A

Bechet’s disease

2
Q

What features of Raynauds point towards a primary rather than secondary diagnosis?

A

Onset < 40 years
Bilateral symptoms

3
Q

Which complement levels are low in active disease SLE?

A

C3 and 4

4
Q

Vasculitis causing puleless peripheries?

A

Takayasu’s

5
Q

Positive serology in Churg-Strauss syndrome?

A

p-ANCA

6
Q

Positive serology in Wegner’s granulomastisis?

A

c-ANCA

7
Q

Presentation of psoriatic arthritis compared to rheumatoid?

A

Psoriatic is asymmetrical

8
Q

What is required for management following a diagnosis of dermatomyositis?

A

CT CAP (commonly a paraneoplastic phenomenon)

9
Q

XR in RA?

A

Peri-articular erosions

10
Q

What type of hypersensitivity reaction is SLE?

A

Type 3

11
Q

Poor prognositc factor in RA?

A

Positive anti-CCP antibodies

12
Q

Criteria for anti-TNF drug in ank spond?

A

Tried 2 NSAIDS
Meet criteria for active disease on 2 occasions, 12 weeks apart

13
Q

Clinical findings in Ank Spond?

A

Reduced chest expansion, reduced lateral flexion and reduced forward flexion (Schober’s test)

14
Q

Management of And Spond if first line (NSAIDs) have not been successful?

A

TNF-alpha blocker (ertanercept)
DMARDS are of no benefit in AS

15
Q

Most common neuro manifestation of Sarcoidosis?

A

Facial nerve palsy
Due to bilateral parotid gland enlargement

16
Q

Management of renal disease in scleroderma?

A

ACEi

17
Q

GCA eye involvement?

A

Anterior ischaemic optic neuropathy
Fundoscopy: swollen, pale disc with blurred margins